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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
OPERATING ACTIVITIES    
Net income including non-controlling interests $ 10,054 $ 6,034
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities:    
Depreciation and amortization 2,468 2,356
Provision for doubtful accounts 1,061 898
Equity-based awards compensation expense 1,381 1,280
Loss on sale of fixed assets 54 33
Deferred income taxes (1,162) (250)
Changes in operating assets and liabilities:    
Increase in patient accounts receivable (2,782) (1,542)
Increase in accounts receivable - other (849) (3,697)
(Increase) decrease in other assets (1,238) 757
Increase in accounts payable and accrued expenses 7,389 5,315
Increase in mandatorily redeemable non-controlling interests 0 2,911
(Decrease) increase in other liabilities (845) 76
Net cash provided by operating activities 15,531 14,171
INVESTING ACTIVITIES    
Purchase of fixed assets (1,404) (1,587)
Purchase of businesses, net of cash acquired (761) (15,670)
Purchase of non-controlling interest (246) 0
Proceeds on sale of fixed assets 0 62
Net cash used in investing activities (2,411) (17,195)
FINANCING ACTIVITIES    
Distributions to non-controlling interests (2,208) (937)
Proceeds from revolving line of credit 19,000 32,000
Payments on revolving line of credit (31,000) (20,000)
Payments to settle mandatorily redeemable non-controlling interests (265) (2,230)
Principal payments on notes payable (823) (702)
Other 56 0
Net (cash used in) provided by financing activities (15,240) 8,131
Net increase in cash and cash equivalents (2,120) 5,107
Cash and cash equivalents - beginning of period 21,933 20,047
Cash and cash equivalents - end of period 19,813 25,154
Cash paid during the period for:    
Income taxes 2,941 86
Interest 526 599
Non-cash investing and financing transactions during the period:    
Purchase of business - seller financing portion $ 150 $ 900